Error
  • The template for this display is not available. Please contact a Site administrator.

WG on Insect Venom Hypersensitivity - Activities

Insect Venom Hypersensitivity IG 2015 Report

Contribution of IG board members to international multicenter studies and Task Forces of the other EAACI Interest Groups

Publications:

1. Siracusa A1, Folletti I, Gerth van Wijk R, Jeebhay MF, Moscato G, Quirce S, Raulf M, Ruëff F, Walusiak-Skorupa J, Whitaker P, Tarlo SM. Occupational anaphylaxis--an EAACI task force consensus statement.. 2015 Feb;70(2):141-52. doi: 10.1111/all.12541.

2. Pitsios C, Demoly P, Bilò MB, Gerth van Wijk R, Pfaar O, Sturm GJ, Rodriguez del Rio P, Tsoumani M, Gawlik R, Paraskevopoulos G, Ruëff F, Valovirta E, Papadopoulos NG, Calderón MA.Clinical contraindications to allergen immunotherapy: an EAACI position paper. Allergy. 2015 Aug;70(8):897-909.

3. Bonadonna P, Pagani M, Aberer W, Bilò MB, Brockow K, Oude Elberink H, Garvey L, Mosbech H, Romano A, Zanotti R, Torres MJ. Drug hypersensitivity in clonal mast cell disorders: ENDA/EAACI position paper. Allergy. 2015 Jul;70(7):755-63.

Insect Venom Hypersensitivity IG 2016 REPORT

Publications:

1. Dhami S, Nurmatov U, Varga EM, Sturm G, Muraro A, Akdis CA, Antolín-Amérigo D, Bilò MB, Bokanovic D, Calderon MA, Cichocka-Jarosz E, Elberink JN, Gawlik R, Jakob T, Kosnik M, Lange J, Mingomataj E, Mitsias DI, Mosbech H, Pfaar O, Pitsios C, Pravettoni V, Roberts G, Ruëff F, Sin BA, Sheikh A. Allergen immunotherapy for insect venom allergy: protocol for a systematic review. Clin Transl Allergy. 2016 Feb 16;6:6.

2. Bilò MB, Cichocka-Jarosz E, Pumphrey R, Oude-Elberink JN, Lange J, Jakob T, Bonadonna P, Fernandez J, Kosnik M, Helbling A, Mosbech H, Gawlik R, Niedoszytko M, Patella V, Pravettoni V, Rodrigues-Alves R, Sturm GJ, Rueff F. Self-medication of anaphylactic reactions due to Hymenoptera stings-an EAACI Task Force Consensus Statement. Allergy 2016 Jul;71(7):931-43.

3. Dhami S, Zaman H, Varga E-M, Sturm G, Muraro A, Akdis CA, Antolín-Amérigo D, Bilò BM, Bokanovic D, Calderon MA, Cichocka-Jarosz E, Oude Elberink JNG, Gawlik R, Jakob T, Kosnik M, Lange J, Mingomataj E, Mitsias DI, Mosbech H, Ollert M, Pfaar O, Pitsios C, Pravettoni V, Roberts G, Ruëff F, Ayşe Sin B, Netuveli G, Sheikh A. Allergen immunotherapy for insect venom allergy: a systematic review and meta-analysis. Allergy 2016 - accepted for publication

4. Contribution of IG board members to international multicenter studies and Task Forces of the other EAACI Interest Groups:

◦ Grabenhenrich LB, Dölle S, Moneret-Vautrin A, Köhli A, Lange L, Spindler T, Ruëff F, Nemat K, Maris I, Roumpedaki E, Scherer K, Ott H, Reese T, Mustakov T, Lang R, Fernandez-Rivas M, Kowalski ML, Bilò MB, Hourihane JO, Papadopoulos NG, Beyer K, Muraro A, Worm M. Anaphylaxis in children and adolescents: The European Anaphylaxis Registry. J Allergy Clin Immunol. 2016 Apr;137(4):1128-37.e1.

◦ Matricardi PM, Kleine-Tebbe J, Hoffmann HJ, Valenta R, Hilger C, Hofmaier S, Aalberse RC, Agache I, Asero R, Ballmer-Weber B, Barber D, Beyer K, Biedermann T, Bilò MB,
Blank S, Bohle B, Bosshard PP, Breiteneder H, Brough HA, Caraballo L, Caubet JC, Crameri R, Davies JM, Douladiris N, Ebisawa M, EIgenmann PA, Fernandez-Rivas M, Ferreira F, Gadermaier G, Glatz M, Hamilton RG, Hawranek T, Hellings P, Hoffmann-Sommergruber K, Jakob T, Jappe U, Jutel M, Kamath SD, Knol EF, Korosec P, Kuehn A, Lack G, Lopata AL, Mäkelä M, Morisset M, Niederberger V, Nowak-Węgrzyn AH, Papadopoulos NG, Pastorello EA, Pauli G, Platts-Mills T, Posa D, Poulsen LK, Raulf M, Sastre J, Scala E, Schmid JM, Schmid-Grendelmeier P, van Hage M, van Ree R, Vieths S, Weber R, Wickman M, Muraro A, Ollert M. EAACI Molecular Allergology User's Guide. Pediatr Allergy Immunol. 2016 May;27 Suppl 23:1-250.

◦ Brockow K, Aberer W, Atanaskovic-Markovic M, Bavbek S, Bircher A, Bilo B, Blanca M, Bonadonna P, Burbach G, Calogiuri G, Caruso C, Celik G, Cernadas J, Chiriac A, Demoly P, Oude Elberink JN, Fernandez J, Gomes E, Garvey LH, Gooi J, Gotua M, Grosber M, Kauppi P, Kvedariene V, Laguna JJ, Makowska JS, Mosbech H, Nakonechna A, Papadopolous NG, Ring J, Romano A, Rockmann H, Sargur R, Sedlackova L, Sigurdardottir S, Schnyder B, Storaas T, Torres M, Zidarn M, Terreehorst I. Drug allergy
passport and other documentation for patients with drug hypersensitivity - An ENDA/EAACI Drug Allergy Interest Group Position Paper. Allergy. 2016 May 4.

◦ Dhami S, Nurmatov U, Roberts G, Pfaar O, Muraro A, Ansotegui IJ, Calderon M, Cingi C, Demoly P, Durham S, van Wijk RG, Halken S, Hamelmann E, Hellings P, Jacobsen L,
Knol E, Linnemann DL, Lin S, Maggina V, Oude-Elberink H, Pajno G, Panwankar R, Pastorello E, Pitsios C, Rotiroti G, Timmermans F, Tsilochristou O, Varga EM, Wilkinson
J, Williams A, Worm M, Zhang L, Sheikh A. Allergen immunotherapy for allergic rhinoconjunctivitis: protocol for a systematic review. Clin Transl Allergy. 2016 Mar
22;6:12.

◦ Mayorga C, Celik G, Rouzaire P, Whitaker P, Bonadonna P, Rodrigues-Cernadas J, Vultaggio A, Brockow K, Caubet JC, Makowska J, Nakonechna A, Romano A, Montañez
MI, Laguna JJ, Zanoni G, Gueant JL, Oude Elberink H, Fernandez J, Viel S, Demoly P, Torres MJ; In vitro tests for Drug Allergy Task Force of EAACI Drug Interest Group. In
vitro tests for drug hypersensitivity reactions: an ENDA/EAACI Drug Allergy Interest Group position paper. Allergy. 2016 Aug;71(8):1103-34.

◦ Hartmann K, Escribano L, Grattan C, Brockow K, Carter MC, Alvarez-Twose I, Matito A, Broesby-Olsen S, Siebenhaar F, Lange M, Niedoszytko M, Castells M, Oude Elberink JN, Bonadonna P, Zanotti R, Hornick JL, Torrelo A, Grabbe J, Rabenhorst A, Nedoszytko B, Butterfield JH, Gotlib J, Reiter A, Radia D, Hermine O, Sotlar K, George TI, Kristensen TK, Kluin-Nelemans HC, Yavuz S, Hägglund H, Sperr WR, Schwartz LB, Triggiani M, Maurer M, Nilsson G, Horny HP, Arock M, Orfao A, Metcalfe DD, Akin C, Valent P. Cutaneous manifestations in patients with mastocytosis: Consensus report of the European Competence Network on Mastocytosis; the American Academy of Allergy, Asthma & Immunology; and the European Academy of Allergology and Clinical Immunology. Allergy Clin Immunol. 2016 Jan;137(1):35-45.
Business Meeting took place on 9th of June 15.45-17.15

Chair: Gunter Sturm, Austria
Secretary: Ewa Cichocka-Jarosz, Poland

Board members:
Betül Ayse Sin, Turkey

Hanneke Oude Elberink, The Netherlands
Ervin Mingomataj, Albania

Dimitris Mitsias, Greece
Edzard Spillner, Denmark

Darío Antolín-Amérigo, Spain – JMA Affiliate& webmaster

Forty three persons took part in the BM

1. Prof. Franziska Rueff as an invited speaker, gave a lecture entitled Contraindications to venom immunotherapy - state of the art. Position paper on this topic within sharing activities of EAACI both Insect Venom Hypersensitivity IG and Immunotherapy Section remains under revision

2. Gunter Sturm gave a report on previous activities of IG and future plans including updating current position papers and new multicenter study:

a. Self-medication and other recommendations for patients with hypersensitivity reactions to stings (co-ordinator Beatrice Bilo). Work on it has started during EAACI Congress in Geneva 2012, currently final draft is awaiting for approval, and will be submitted for publication

b. Sting challenge (co-ordinator Franziska Rueff). Work on it has started during EAACI Congress in Geneva 2012, currently draft remains under final revision

c. Task force on updating the position paper Diagnosis of Hymenoptera venom allergy (published Allergy 2005) - set up in April 2014

d. Task force on updating the position paper Prevention and treatment of hymenoptera venom allergy: guidelines for clinical practice ( published Allergy 2005) - set up in April 2014

For both new task forces 15 members in totals take part, Chair – Gunter Sturm, secretary – Ewa Cichocka-Jarosz. The review of literature was done for the first meeting, which took place on Sunday 8th of June during EAACI Congress in Copenhagen. Revised drafts 2014 will be prepared for the meeting in November / January in Vienna. Submission is scheduled for August 2015

e. New EAACI multicenter study EADOAS-Study (The effect of antihypertensive drugs on severity of anaphylaxis and side –effects during venom immunotherapy) aiming to verify the association between the risk of more severe anaphylaxis and accumulated side-effects during VIT in patients simultaneously treated with antihypertensive drugs. Study co-ordinator Gunter Sturm, has done short characteristics of study synopsis and three-steps design. Protocol / CRF is finished. Approval of local ethical review board is expected in July. Avarage study samples comprises of 1319 patients. Eighteen centers confirmed participation. Study will last from August 1st, 2014 till December 31st , 2018.

f. Short vivid discussion with many speakers, concerning English translation of all necessary documents (among them case report form and Ethical Committee agreement) took place

3. Proposal for creating new ICD-11, which is urgently needed due to different codes applied for venom anaphylaxis eg. X23 (contact with hornets, wasps and bees), X25 (contact with other venomous arthropods), T63 (toxic effect of contact with venomous animals), was performed. New ICD-11 would be helpful for speaking common language.

4. Gabrielle Cortellini (Italy) gave a short report on difficulties in realization of study Outcome of re-stings in patients with a history of a large local reactions to Hymenoptera stings (co-ordinator Mauricio Severino).

5. The scientific board of the Insect Venom Hypersensitivity IG welcomes all the suggestions for future scientific meetings. Everybody is invited to make proposals, even if he/she is not member of the steering committee.
Fifty-one participants and 15 speakers from twenty-two countries used the opportunity to improve their knowledge on Hymenoptera venom allergy. The Allergy School was organized by the Interest-Group on Hymenoptera Venom Hypersensitivity of the EAACI in collaboration with the DGAKI (German Association of Allergy and Clinical Immunology) and was held from the 11th to 13th of April in Munich, Germany.

In the beginning, an interesting overview about the history of venom immunotherapy (VIT) was imparted by Ulrich Müller, followed by an insight of protective mechanisms of VIT by Cezmi Akdis. Knowledge on distribution and behaviour of Hymenoptera presented by Volker Mauss may help in the identification of insects. Markus Ollert and Thilo Jakob provided clues to a better diagnostics by using component resolved diagnosis for IgE-measurement. Beatrice Bilò examined the natural history of Hymenoptera venom allergy and delivered important take-home messages concerning anaphylaxis management. The first day ended with a warm welcome reception at the meeting venue, where attendants had the chance to share thoughts and learn.

On the second day, Gunter Sturm stated that 60% of patients with negative tests can be diagnosed with the basophil activation test. Hanneke Oude Elberink remarked an elevated rate of false positive skin test reactions, when using a concentration of 1 mg venom/ml for the intradermal test, whereas the concentration 0.1 mg/ml is very specific. Franziska Ruëff pointed the important role of baseline tryptase concentration; the dose-dependent effectiveness of VIT supports the option to treat patients at risk for treatment failure with an elevated venom dose. Afterwards the Junior Member Dario Antolin-Amerigo reviewed a great variety of build-up protocols, concluding that there is still too few data to give a clear recommendation for or to advise against a specific build-up schedule. Ewa Cichocka-Jarosz underlined the safety of VIT in children. Marek Niedoszytko presented a thorough review about risk factors, prevention and management of side effects. Another active Junior Member, Byrthe Vos, gave insight to the frequency of mastocytosis (around 2-3%) in Hymenoptera venom allergic patients. In order to identify mastocytosis, it was recommended to measure baseline tryptase before starting VIT, and to perform a meticulous skin examination. The day finished with a review by Constantinos Pitsios about possible contraindications of VIT, a field, in which also data on clear influencing factors are rare. Interactive Practical courses about mastocytosis, in-vitro tests, different build-up schedules and difficult cases, gave the platform for intense discussion. The day ended with a typical Bavarian dinner at the Hofbräukeller with music and funny activities in a charming environment.



On Saturday, interesting case reports and posters were followed by constructive discussions. The assessment of non-Hymenoptera insect bites was elegantly exposed by Peter Schmid-Grendelmeier. Finally, Ruëff talked about the available tools for monitoring the effects of VIT, and stated that the sting challenge test is the most reliable parameter to monitor efficacy of VIT.

I would especially like to thank Franziska Ruëff for a wonderful Allergy School and I take the opportunity to invite you to consider attending such meetings where speakers and delegates get to know each other and even plan future projects!!

Darío Antolín-Amérigo